| NPI | 1376316711 |
|---|---|
| Doing Business As | TEMPLE FACULTY ADDICTION MEDICINE |
| Former Legal Business Name | TEMPLE FACULTY ADDICTION MEDICINE |
| Entity Type | Organization |
| Authorized Contact | BRIDGET FERRARIE Sr. Manager Payer Credentialing 215-707-2433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-06 |